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2900 - Site Mitigation Program
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PR0019458
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FIELD DOCUMENTS
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Last modified
6/18/2019 3:01:28 PM
Creation date
6/18/2019 2:42:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0019458
PE
2951
FACILITY_ID
FA0004531
FACILITY_NAME
LLNL-SITE 300 BLDG 834 & 871
STREET_NUMBER
0
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Chain-of-Custody Record and Analytic Instructions Page of B 0 0 0 7 9 <br /> all re Its and invoices to: <br /> M. Heaton, , Field Log Book#(COC#) Release# 0�4 5 <br /> (please fill in and circle) 0RID LLNL Acct. #13�0'{> Sampling Request# /,/Z <br /> dLaboratoryc J <br /> Attn: ORAD Data Management Team Analytical L-633 Y Name <br /> Lawrence Livermore National Laboratory Analytical Laboratory Log # <br /> P.O. Box 808, Livermore,CA 94550 <br /> Analysis &Turnaround Additional Instructions to Lab <br /> Also Fax copies to: awl e -> _Fax# `r'�Z�Z Y 6) Required r <br /> Project Name:I C l jq 0C <br /> Sampled By : A- --- Sampler's Employer: L-^ 1-Srll <br /> Cita/ � G�.] ' <br /> CIO <br /> Sample Sample Matrix/Type 2 #o` Study Q <br /> Identification Date/Time Container/Type 3 Cont. Asea IL tL - Remarks <br /> Mc. (- <i,c-z, ,s6 sc� <br /> Teo <br /> i <br /> R <br /> �ionaturc Company Ti nc Date oO <br /> / 7 �I. =normal turnaroun �l-week t�Trn t. �62— <br /> Relinquished �, 4-hour turnaround. H=Hold do not analyze unless r es d <br /> Received by / <br /> 2. Sample Matrix Codes:See list on back of pink copy <br /> Relinquished by �.S l apo aZ7. 3. Container type codes: V=VOA Bottle,P=Plastic Bottle/40/5A5 <br /> Received byL �%(Jv G=Glass Bottle,T=Brass Tube, <br /> 7— B=Bag,S=Stainless Steel Tube, <br /> Relinquished by O=Other(specify under remarks) <br /> Received by C(. Internal Use(hil <br /> i <br /> Revision 3.3 While: Laboratory return to ORAD Pink:Sampler leaves with ORAD <br /> Management Team L-633 .311 t <br /> Attn.Data Mana gFellow:Analytical 1 <br /> 29 Oct.93 ORAD Attn.ORAD Data Management Team L-633 <br />
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